ArticleActa orthopaedica2019
High rate of reoperation and conversion to total hip arthroplasty after internal fixation of young femoral neck fractures: a population-based study of 796 patients.
Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Comparison of complications between total hip arthroplasty following failed internal fixation and primary total hip arthroplasty for femoral neck fractures: A meta-analysis.Joint diseases and related surgery · 2025Pooled it
- Pooled it
- Sliding hip screws versus cancellous screws for femoral neck fractures: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Pooled it
- Clinical Effect of Open Reduction and Internal Fixation for Femoral Neck Fracture in Young Adults and Related Factors of Femoral Head Necrosis.Journal of environmental and public health · 2022Trial
- Superior reduction quality without improved outcomes: open versus closed reduction for displaced femoral neck fractures in adults under 60 years.Archives of orthopaedic and trauma surgery · 2026Article
- Closed reduction of acute femoral neck fractures-a simple and reproducible technique.Operative Orthopadie und Traumatologie · 2026Article
- The Development of Metabolic Bone Failure as the Principal Manifestation of Undiagnosed Primary Hyperparathyroidism: A Rare Instance of Bilateral Femoral Neck Fractures.Journal of orthopaedic case reports · 2026Article
- [One- or two-stage approach after osteosynthesis failure in proximal femur fracture-a narrative review].Orthopadie (Heidelberg, Germany) · 2026Review
- Novel internal fixation technique for Pauwels type III neck of femur fractures using the femoral neck system in conjunction with a medial buttress plate: a case report.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Article
- Case Report: Proximal femoral valgus osteotomy and dynamic hip screw fixation for post-traumatic coxa vara secondary to femoral neck or intertrochanteric fracture nonunion or malunion: a retrospective case series.Frontiers in surgery · 2026Article
- In silico analysis of fixation device strain patterns in the postoperative proximal femur: Effects of bone quality during gait.Clinical biomechanics (Bristol, Avon) · 2025Article
- AI-assisted treatment decisions for femoral neck fractures: a simulated assessment of ChatGPT-4's accuracy and comprehensiveness.Langenbeck's archives of surgery · 2025Article
- Differences in Perioperative Outcomes Between Conversion Total Hip Arthroplasty After Previous Proximal Femur Fracture and Primary Total Hip Arthroplasty.Arthroplasty today · 2025Article
- Comparable results for the Femoral Neck System and three-screw fixation in femoral neck fracture treatment.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Article
- Investigation of Novel Radiological Parameters to Predict Treatment Failure and Ideal Surgical Interventions in Young Femoral Neck Fractures Treated with Triple Cannulated Screw: A Retrospective Analysis.Indian journal of orthopaedics · 2024Article
- Periprosthetic fracture following arthroplasty for femoral neck fracture: is a cemented stem protective?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Non-traumatic Simultaneous Bilateral Femur Neck Fracture in a Young Female Unraveling End-Stage Renal Disease: A Case Report and Literature Review.Journal of orthopaedic case reports · 2024Article
- Evaluation of Post-Operative Outcomes of Femoral Neck Fracture Interventions: A Systematic Review.Geriatric orthopaedic surgery & rehabilitation · 2024Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Most often, the goal of non-geriatric femoral neck fracture surgery is to preserve the native hip joint. However, reoperations for painful implants, osteonecrosis, and nonunion are common. We determined the reoperation rate and time-to-reoperation following internal fixation of these fractures in a large population cohort. Patients and methods - This retrospective cohort study included patients between the ages of 18 and 50 years old who underwent internal fixation for a femoral neck fracture during 1997-2013. Patients were followed until December 2013. Primary outcomes were reoperation rate and time-to-reoperation. Time-to-event analysis was performed to estimate the rate of any reoperation and for THA specifically, while testing the dependency of time-to-reoperation on secondary variables. Results - 796 young femoral neck fracture patients were treated with internal fixation during the study period (median age 43 years, 39% women). Median follow-up was 8 years (IQR 4-13). One-third underwent at least 1 reoperation at a median 16 months after the index surgery (IQR 8-31). Half of reoperations were for implant removal, followed by conversion to total hip arthroplasty. 14% of the cohort were converted to THA. The median time to conversion was 2 years (IQR 1-4). Neither female sex nor older age had a statistically significant effect on time-to-reoperation or time-to-THA conversion. Interpretation - Following internal fixation of young femoral neck fracture, 1 in 3 patients required a reoperation, and 1 in 7 were converted to THA. These data should be considered by patients and surgeons during treatment decision-making.
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